Content Development for a Virtual Social Engagement Intervention

Abstract Video technology has the potential to provide older adults with socially and cognitively engaging activities for in-home participation. We are exploring use of OneClick.chat, a video technology platform, to present older adults with and without mild cognitive impairment opportunities for engagement. In collaboration with iN2L we have developed events that will facilitate conversations that do not rely on episodic memory, cover a range of topics, and represent different cultures and interests. We selected event topics that were positive, socially and cognitively engaging, and included a range of pictures based on our previous research. Events were carefully controlled for length of presentation, picture type, and readability. Discussion questions related to the events were designed to stimulate engaging conversations through open-ended questions and to not burden memory recall or enforce stereotypes. Our work highlights potential future avenues for researchers and home and community-based organizations to use technology to promote social engagement.

how this intervention was designed to facilitate engagement. This will be followed by a presentation by X. Lin on the relationship between social media usage and well-being across the lifespan, and mediators of this relationship. The session will conclude with a presentation by W. Qin on predictors of older adults' use of telehealth technology to support health and wellbeing during the COVID-19 pandemic.

VIDEO CHAT TECHNOLOGY TO SUPPORT HOME AND COMMUNITY-BASED ORGANIZATIONS
Brielle Ross, 1 Allura Lothary, 2 Dillon Myer, 3 Raksha Mudar, 4 Wendy Rogers, 1 and Madina Khamzina, 1 , 1. University of Illinois Champaign,Illinois,United States,Urbana,Illinois,United States,3. OneClick. Chat,Philadelphia,Pennsylvania,United States,Champaign,Illinois,United States Concerns about loneliness and social isolation for older adults were already evident but have been exacerbated during the pandemic. Home and Community Based Organizations (HCBOs) provide support for their older clients in the community and need to support their staff, who may be working remotely. We are exploring the potential of video chat technology to connect older adults with their friends, families, and other support. We review the technologies available to older adults in the community and staff working with older adults to promote social engagement. We are collaborating with OneClick.chat to identify the needs of the HCBOs through a literature review and qualitative interviews of staff members from different senior living environments. Their challenges and successes of engaging older adults through video chat technologies will provide guidance for design of an HCBO dashboard for OneClick.chat that will support diverse needs.

. University of Illinois Urbana-Champaign, Champaign, Illinois, United States
Video technology has the potential to provide older adults with socially and cognitively engaging activities for in-home participation. We are exploring use of OneClick.chat, a video technology platform, to present older adults with and without mild cognitive impairment opportunities for engagement. In collaboration with iN2L we have developed events that will facilitate conversations that do not rely on episodic memory, cover a range of topics, and represent different cultures and interests. We selected event topics that were positive, socially and cognitively engaging, and included a range of pictures based on our previous research. Events were carefully controlled for length of presentation, picture type, and readability. Discussion questions related to the events were designed to stimulate engaging conversations through open-ended questions and to not burden memory recall or enforce stereotypes. Our work highlights potential future avenues for researchers and home and community-based organizations to use technology to promote social engagement.

THE RELATIONSHIP BETWEEN SOCIAL MEDIA USE AND WELL-BEING: THE MEDIATING ROLE OF SOCIAL SUPPORT
Margie Lachman, 1 and Xin Yao Lin, 2 1. Brandeis University,Brandeis University,Massachusetts,United States,2. Brandeis University,Waltham,Massachusetts,United States Frequent social media usage can have negative effects on well-being, but the mechanisms involved are unclear. This study explored the mediating role of giving and receiving support. Using the Midlife in the United States Refresher eight-day daily diary study (N=782, age 25-75), multilevel structural equation modeling examined the hypothesized relationships at both the within-(intraindividual) and betweenperson (interindividual) levels. Results showed that at the within-person level, days with more social media use were associated with a larger proportion of time giving support and worse well-being (less positive affect and more stress, negative affect, and loneliness). At the between-person level, more social media use was associated with worse well-being. Giving support, but not receiving support, mediated the relationship between social media use and well-being at the within, but not the between-person level. Discussion focuses on ways to address the negative consequences of social media use related to social connections and well-being.

ADOPTION OF TELEHEALTH AMONG OLDER ADULTS DURING THE COVID-19 PANDEMIC Weidi Qin, Case Western Reserve University, Cleveland, Ohio, United States
The COVID-19 pandemic has disrupted older adults' in-person healthcare services. Many individuals rely on remote communication with their healthcare providers for non-urgent health or mental health issues. The present study investigated the effects of technology learning and depressive symptoms on new adoption of telehealth (e.g. online messaging, video call) to communicate with healthcare providers during the COVID-19 pandemic. A sample of 1,500 Medicare beneficiaries aged 65 or older was selected from the National Health and Aging Trend Study. A series of logistic regressions were performed. Results showed that older adults who learned a new online technology during the COVID-19 outbreak were more likely to adopt telehealth. Also, older adults with a higher level of depressive symptoms were more likely to start using telehealth. The findings highlight the importance of technology training to help older adults go online. Telehealth can be an important coping tool for depressive symptoms during the pandemic.

TRAUMATIC EVENTS AND HEALTH: AN ECOLOGICAL AND LIFE COURSE PERSPECTIVE Chair: XinQi Dong
During the past decades, researchers have shown an increasing interest in the study of traumatic events among aging populations. The majority of studies on trauma focus on mental health, which overlooks the possibility that trauma may also have an adverse effect on other health outcomes, such as cognitive function. A number of studies focus on a single traumatic event. However, this approach may underestimate its health impact as many people experience multiple forms of traumatic events. Indeed, the impact of traumatic events on health depends on the event itself (e.g., single or multiple forms, time) as well as ecological factors. This symposium aims to address the above limitations. The first longitudinal study An Ecological Model of Risk Factors in Elder Mistreatment (EM) Victims tested different dimensions of the ecological model to prevent recurrence of EM. The second study Polyvictimization and Cognitive Function in an Ethnic Minority Aging Population explored whether exposure to multiple forms of EM affects cognitive function. The third study Traumatic Events and Cognitive Function: Does Time Matter? examined whether traumatic events happened in childhood, adulthood, or old age will influence late-life cognitive function. The fourth study Face-saving and Help-seeking among Older Adults with EM identified cultural determinants of help-seeking behaviors in EM victims. This symposium will advance knowledge in the health consequences of polyvictimization and exposure to traumatic events in different life stages. It will also inform interventions to stop the recurrence of EM in immigrant families and enhance the help-seeking behaviors of ethnic minority older adults. Globally, around 1 in 6 older adults experienced some form of elder mistreatment in community settings. However, little is known about the prevalence of polyvictimization, or experience of multiple forms of abuse, which may exacerbate negative outcomes over that of any one form of victimization in isolation. Data were drawn from the PINE study. Polyvictimization was defined as exposure to multiple forms of victimization, including psychological, physical, and sexual mistreatment, financial exploitation, and caregiver neglect. Cognitive function was evaluated by global cognition, episodic memory, executive function, working memory, and MMSE. Regression analyses were performed. Among 3153 participants, 128 experienced two forms of abuse while 12 experienced three or more forms of abuse. Polyvictimization was associated with lower global cognition (b=-0.05, SE=0.02, p<.05), episodic memory (b=-0.06, SE=0.03, p<.05), working memory (b=-0.14, SE=0.07, p<.05), and processing speed (b=-0.68, SE=0.33, p<.05). Interventions could target older adults with polyvictimization and protect their cognitive function.

AN ECOLOGICAL MODEL OF RISK FACTORS IN OLDER ADULTS WITH REPEATED EXPOSURE TO ELDER MISTREATMENT
Mengting Li, 1 XinQi Dong, 2 and Qun Le, 3 1. Rutgers, The State University of New Jersey, New Brunswick, New Jersey,